Journal of Preventive Medicine and Public Health

Volume 40(3); May 2007

English Abstracts

A Nationwide Survey on the Hand Washing Behavior and Awareness.: Jae Sim Jeong, Jun Kil Choi, Ihn Sook Jeong, Kyong Ran Paek, Hye Kyung In, Ki Dong Park; J Prev Med Public Health. 2007;40(3):197-204.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.197

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OBJECTIVES
This study was conducted to evaluate the public's awareness of the importance of hand washing and to compare perceptions on the habit of hand washing with actual hand washing behavior. METHODS: Data were collected by observing 2,800 participants washing their hands after using public restrooms in seven cities nationwide and by surveying 1,000 respondents (age > 14 years) through telephone interviews using a structured questionnaire. RESULTS: Although 94% of the survey respondents claimed to mostly or always wash their hands after using public restrooms, only 63.4% of the observed participants did wash their hands after using public restrooms. Significant factors related to increased adherence to hand washing were female gender, approximate ages of 20 to 39 years by their appearance, and the presence of other people from the observation. About 79% of the survey respondents always washed their hands after using bathrooms at home, 73% washed their hands before handling food, and 67% washed their hands upon returning to their home. However, 93.2% and 86.3% of the survey respondents did not wash their hands after coughing or sneezing and after handling money, respectively. Although most of the survey respondents (77.6%) were aware that hand washing is helpful in preventing communicable diseases, 39.6% of the survey respondents did not do so because they were 'not accustomed' to washing their hands and 30.2% thought that washing their hands is 'annoying'. CONCLUSIONS: This is the first comprehensive report on hand washing behavior and awareness of the general population in Korea. The result of this study in terms of individual behavior and awareness of hand washing are comparable with similar studies conducted in other countries. However adherence to hand washing is still low and needs to be increased. The results of this study can be used as a baseline in setting up strategies and activities to Bpromote adherence to hand washing.

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Factors Influencing the Intention to have Stomach Cancer Screening.: Myung Il Hahm, Kui Son Choi, Su Yeon Kye, Min Son Kwak, Eun Cheol Park; J Prev Med Public Health. 2007;40(3):205-212.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.205

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Abstract PDF

OBJECTIVES
The purpose of this study was to identify the factors influencing the intention to have stomach cancer screening using the theory of planned behavior (TPB) in Korea. METHODS: For this population-based study, 1,535 adult respondents (aged 40 to 70 years) were recruited using multi-stratified random sampling and a face-to-face administered questionnaire. This study was based on Ajzen's theory of planned behavior. Intentions were divided into three scenarios for fee payment in the next two years: (1) free of charge, (2) co-payment, and (3) full charge. Multiple linear regression was used to identify the factors influencing the intention to have stomach cancer screening. RESULTS: Perceived behavioral control and attitude toward stomach cancer screening were significant predictors of the intention to have stomach cancer screening. However, subjective norm only influenced the intention to have stomach cancer screening with full charge in the next two years. CONCLUSIONS: The results suggest that attitude and perceived behavioral control are likely to contribute toward increasing the intention to have stomach cancer screening. Especially, perceived behavioral control is a good predictor. Because the study subjects were nation wide residents, the study results can be generalized.

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Survival Rates of the 5 Major Cancers in Jeju Island Residents, 2000-2001.: Yeong Ja Yang, Jong Myon Bae; J Prev Med Public Health. 2007;40(3):213-217.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.213

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OBJECTIVES
This study aimed to calculate the survival rates of cancer patients in Jeju Island residents from 2000 to 2001, based on their major primary sites of occurrence. METHODS: Data were extracted from the database of the Jejudo Cancer Registry (JCR). The eligible population comprised 2,382 cancer cases, whose cancers were diagnosed from 1 January 2000 through 31 December 2001. Of the eligible population, 1,438 patients with 5 major cancers defined by the level of incidence rates were selected as the study participants. The period of survival for each case was calculated from the date of first diagnosis to the date of death, or the end of follow-up, i.e., 31 December 2003. The observed survival rates (OSR) and relative survival rates (RSR) were calculated according to sex, age-group, and primary sites of occurrence. RESULTS: The 3-year OSR and RSR in 5 major cancers were higher in women than in men except 75 year-old over group. The 3-year RSR of stomach, colorectum, liver, and lung in both sexes were 61.0%, 62.6%, 24.7%, and 22.8%, respectively. The respective rates in JCR showed some statistically significant differences from those in the Korea Central Cancer Registry (KCCR). CONCLUSIONS: These results would suggest some clues about prognostic factors of major cancers in Korean, and could apply to planning and evaluating of cancer control strategies in Jeju Island.

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Experience of Parent-related Negative Life Events, Mental Health, and Delinquent Behavior among Korean Adolescents.: Dong Sik Kim; J Prev Med Public Health. 2007;40(3):218-226.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.218

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OBJECTIVES
This study examined the relationship of parent-related negative life events with mental health and delinquent behaviors among Korean adolescents. METHODS: A total of 2,976 high school first-grade pupils (1,498 boys & 1,478 girls) taking part in the third wave of Korean Youth Panel Survey completed a self-administered questionnaire regarding parent-related life events, depressive feelings, suicidal ideation, delinquent behaviors, demographic characteristics, parental socioeconomic status, social support, and social capital. Data analyses were conducted using multivariate logistic regression. RESULTS: After adjusting for all covariates, the more parent-related negative life events adolescents experienced throughout their whole life, the more likely adolescent were to have mental and behavioral problems. A significant dose-response relationship between them was more clearly observed in girls than in boys. The experience of parentrelated negative events during childhood was significantly associated with suicidal ideation and delinquent behaviors for boys, and with depressive feelings for girls during adolescence. Indeed, parental social support, social capital, and having a close friend with delinquent behaviors, especially for girls, partially mediated the relationship between parent-related negative life events and both outcomes. CONCLUSIONS: The study showed a clear dose-response relationship of frequency of parent-related negative life events with poor mental and behavioral health for both genders. The residual effect of being exposed to parentrelated events during childhood on mental health and delinquent behaviors during adolescence still remained.

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Research Support, Non-U.S. Gov't

Medical Expenditure of National Health Insurance Attributable to Smoking among the Korean Population.: Sang Yi Lee, Sun Ha Jee, Ji Eun Yun, Su Young Kim, Jakyung Lee, Jonathan M Samet, Il Soon Kim; J Prev Med Public Health. 2007;40(3):227-232.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.227

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Abstract PDF

OBJECTIVES
The purpose of this study was to determine the population-attributable risk (PAR) and estimate the total medical expenditure of the Korean National Health Insurance (KNHI) due to smoking. METHODS: We used data from the Korean Cancer Prevention Study of 1,178,138 Koreans aged 30 to 95. These data were available from 1992 to 2003 and covered a long-term follow-up period among the Korean population. RESULTS: The total medical expenditure of KNHI related to smoking increased by 27% from $324.9 million in 1999 to $413.7 million in 2003. By specific diseases, smokingattributable KNHI medical expenditure was the highest for lung cancer ($74.2 million), followed by stroke ($65.3 million), COPD ($50.1 million), CHD ($49 million) and stomach cancer ($30 million). A total of 1.3 million KNHI patients were suffering from smoking-related diseases in 2003. We predicted rises in total KNHI medical expenditure related to smoking to $675.1 million (63% increase compared with that of 2003) and in the total number of KNHI patients suffering from smoking-related diseases to about 2.6million (an approximate 100% increase compared with those in 2003) in 2015. CONCLUSIONS: We found a substantial economic burden related to the high smoking prevalence in South Korea.

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English Abstracts

Spatial Analysis of Air Pollution and Lung Cancer Incidence and Mortality in 7 Metropolitan Cities in Korea. .: Seung Sik Hwang, Jin Hee Lee, Gyu Won Jung, Jeong Hun Lim, Ho Jang Kwon; J Prev Med Public Health. 2007;40(3):233-238.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.233

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OBJECTIVES
We aimed to assess the relationship between long-term exposure to air pollution and lung cancer in the Republic of Korea. METHODS: Using the Annual Report of Ambient Air Quality in Korea, Annual Report of National Cancer Registration, and Annual Report on the Cause of Death Statistics, we calculated the standardized mortality ratio (SMR) and standardized incidence ratio (SIR) of lung cancer for both sexes in 74 areas from 7 Korean metropolitan cities. We performed random intercept, Poisson regression using empirical Bayes method. RESULTS: Both SMRs and SIRs in the 7 metropolitan cities were higher in women than in men. Mean SIRs were 99.0 for males and 107.0 for females. The association between PM(10) and lung cancer risk differed according to gender. PM(10) was not associated with the risk of lung cancer in males, but both incidence and mortality of lung cancer were positively associated with PM(10) in females. The estimated percentage increases in the rate of female lung cancer mortality and incidence were 27% and 65% at the highest PM(10) category (> or = 70 microgram/m(3)), compared to the referent category (<50 microgram/m(3)). CONCLUSIONS: Long-term exposure to PM(10) was significantly associated with female lung cancer incidence in 7 Korean metropolitan cities. Further study is undergoing to estimate the relative risk of PM(10) using multi-level analysis for controlling individual and regional confounders such as smoking and socioeconomic position.

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Histopathologic Effects of Sulfur Dioxide in Mouse Liver Following the Chronic and Acute Exposure
F. Rajaii, A.A. Khaki, A. Khaki, F. Khorshid, N. Borhani, H. Jfraii, H. Haghdust, N. Gheibi
Journal of Biological Sciences.2008; 8(7): 1241. CrossRef

Seasonal Variation of Food Intake in Food Frequency Questionnaire among Workers in a Nuclear Power Plant.: Jae Jeong Yang, Sue Kyung Park, Hyun Sul Lim, Kwang Pil Ko, Younjhin Ahn, Yoon Ok Ahn; J Prev Med Public Health. 2007;40(3):239-248.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.239

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OBJECTIVES
This study was conducted to investigate the systematic error, such as seasonal change or inadequate food items, in a food frequency questionnaire administered to workers in a Nuclear Power Plant, Korea. METHODS: We performed three repeat-tests with 28 subjects on May 13, July 8 and Dec 16, 1992. Our food frequency questionnaire (FFQ) comprised 84 foods organized into 7 food-groups, and was composed of the items of usual intake frequency (8 categories) and the amount per intake (3 or 4 categories) over the previous year. We compared the means of intake frequency and the frequency of the portion-size according to each season using Repeated Measures ANOVA and Pearson's chisquare test with Fisher's exact test. RESULTS: We found the significant seasonal changes of several food items in intake frequency measurement. These items were typical seasonal foods such as mandarin orange, plum and green vegetables, while the single questions consisted of inadequate food items such as thick beef or similar soup and various kimchi products. Significant seasonal changes in portion-size were found in only two items: cooked rice-brown and fresh.frozen fishes. CONCLUSIONS: The systematic errors observed could caused loss of validity in the FFQ. Consideration should be given for seasonal variation in FFQ survey and methodological concerns are needed to improve the quality for measuring usual diet pattern.

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Yihua Yue, Kathleen M. Hovey, Michael J. LaMonte, Jean Wactawski‐Wende, Chris A. Andrews, Amy E. Millen
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Yihua Yue, Kathleen M Hovey, Jean Wactawski-Wende, Michael J LaMonte, Chris A Andrews, Patricia I Diaz, Daniel I McSkimming, Michael Buck, Yijun Sun, Amy E Millen
The Journal of Nutrition.2024;[Epub] CrossRef
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Siyu Lian, Tingting Zhang, Yanchao Yu, Bao Zhang
Biological Trace Element Research.2021; 199(12): 4396. CrossRef
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H. Marti-Soler, C. Pommier, M. Bochud, I. Guessous, B. Ponte, M. Pruijm, D. Ackermann, V. Forni Ogna, F. Paccaud, M. Burnier, A. Pechère-Bertschi, O. Devuyst, P. Marques-Vidal, I. Binet, D. Conen, P. Erne, L. Gabutti, A. Gallino, D. Hayoz, F. Muggli, P.M.
Nutrition, Metabolism and Cardiovascular Diseases.2017; 27(9): 792. CrossRef
A Prospective Study of Serum Trace Elements in Healthy Korean Pregnant Women
Rihwa Choi, Jiyu Sun, Heejin Yoo, Seonwoo Kim, Yoon Cho, Hye Kim, Sun Kim, Jae Chung, Soo-young Oh, Soo-Youn Lee
Nutrients.2016; 8(11): 749. CrossRef
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L. Cahill, P. N. Corey, A. El-Sohemy
American Journal of Epidemiology.2009; 170(4): 464. CrossRef
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Antihypertensive Drug Medication Adherence of People with Disabilities and its Affecting Factors in Korea.: Jong Hyock Park, Youngsoo Shin, Sang Yi Lee, Jae Hyun Park; J Prev Med Public Health. 2007;40(3):249-258.; DOI: https://doi.org/10.3961/jpmph.2007.40.3.249

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OBJECTIVES
The aims of this study were to estimate the antihypertensive medication adherence in people with a disability and a history of taking antihypertensive medication, and to identify the factors affecting medication adherence. METHODS: The National Health Insurance claims data were linked with the National Disability Registry. People with a disability, who received a prescription of antihypertensives, were identified from a total of 85,098 cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80% was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factors affecting medication adherence. RESULTS: The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence (CMA > or =80%) rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients' residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment. CONCLUSIONS: The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.

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Han-Kil Kang, Nak-Jin Sung
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Jong-Hyock Park, Youngsoo Shin, Sang Yi Lee, Jae-Hyun Park
Journal of Preventive Medicine and Public Health.2007; 40(3): 249. CrossRef

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